Resumo

MORALES-AVALOS, Juliana M.; TORRES-MORENO, Adolfo J.; ZAMORA-GOMEZ, Román  e  ARCE-SANCHEZ, Hiram J.. Eyelid necrotic loxoscelism and reconstruction with cutaneous autograft: a case report. Rev. mex. oftalmol [online]. 2022, vol.96, n.1, pp.37-40.  Epub 07-Fev-2022. ISSN 2604-1227.  https://doi.org/10.24875/rmo.m21000161.

Poisonous spider bites are common in our territory due to their presence throughout the country, and the two most common species are the violin or brown recluse spider (Loxosceles reclusae) and the capulin or black widow spider (Latrodectus mactans). They are considered poisonous because they inoculate toxic substances that injure the tissues after a bite, causing pathophysiological alterations of variable severity. Necrosis is characteristic of a loxosceles bite, known as loxoscelism. We present the case of a 56-year-old male with no relevant history. He developed an inflammatory condition that involved the upper eyelid and the superior extraconal orbital region. Its evolution to necrosis required tissue debridation and reconstruction with a full-thickness cutaneous autograft from the contralateral upper eyelid, with a satisfactory evolution.

Palavras-chave : Bite of poisonous spider; Loxoscelism; Eyelid necrotic loxoscelism; Skin autograft; Eyelid reconstruction.